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GLIM 在慢性肾脏病中的应用:我们需要了解什么?

GLIM in chronic kidney disease: What do we need to know?

机构信息

Department of Internal Medicine, Botucatu Medical School, São Paulo State University, UNESP, Botucatu, Brazil.

Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.

出版信息

Clin Nutr. 2023 Jun;42(6):937-943. doi: 10.1016/j.clnu.2023.04.019. Epub 2023 Apr 17.

Abstract

The lack of consensus on diagnostic criteria for malnutrition has hampered developments in research and clinical practice pertaining to nutrition. This opinion paper describes the applicability and other aspects of using the Global Leadership Initiative on Malnutrition (GLIM) criteria for diagnosing malnutrition in patients with chronic kidney disease (CKD). We examine the purpose of GLIM, the particularities of CKD that can affect the nutritional and metabolic status and the diagnosis of malnutrition. In addition, we make an appraisal of previous studies that used GLIM in the context of CKD and discuss the value and relevance of using the GLIM criteria in patients with CKD.

摘要

目前,营养不良的诊断标准尚未达成共识,这对营养相关的研究和临床实践造成了阻碍。本文介绍了全球营养不良领导倡议(GLIM)标准在诊断慢性肾脏病(CKD)患者营养不良中的适用性和其他方面。我们研究了 GLIM 的目的,CKD 可能影响营养和代谢状态及营养不良诊断的特殊性。此外,我们还评估了之前在 CKD 背景下使用 GLIM 的研究,并讨论了在 CKD 患者中使用 GLIM 标准的价值和相关性。

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